Youth Leadership Team Application

The Front Range Teen Science Café is a free, fun way for teens to explore science and technology. Teens will participate in
lively discussions and activities with scientists. The Youth Leadership Team contributes ideas on science topics, recruits
friends to attend Cafés and helps organize, set-up and run each Café.

Name
Date of Birth
Gender Male   Female
School
Grade 9   10   11   12
Home Phone () -
Cell Phone () -
Email address
Best Way to Communicate With You Text message   Email   Phone call
Parent or Guardian's Name
Parent or Guardian's Phone Number () -
Parent or Guardian's Email address
Why do you want to be on the Front Range Teen Café Youth Leadership Team?
What would you contribute to Front Range Teen Café as a Youth Leadership Team member?
What ideas do you have for Front Range Teen Café topics?
What activities, clubs or school groups are you currently involved with? How much time do you spend on each activity per week?
What do you consider to be your best personal qualities?